PAIN MANAGEMENT OF WILLIAMSPORT, LLC
NPI 1821353871
Clinic/Center - Pain in Williamsport, PA
About Pain Management Of Williamsport, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN MANAGEMENT OF WILLIAMSPORT, LLC (NPI 1821353871) is a healthcare organization registered as a pain in Williamsport, Pennsylvania and active in the NPI registry since July 2012. The organization lists Ayaz M Khan, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pain Management Of Williamsport, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pain Management Of Williamsport, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Williamsport, PA 17701
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2048258
Pain Management Of Williamsport, LLC · Williamsport, PAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pain Management Of Williamsport, LLC's NPI number?
The NPI number for Pain Management Of Williamsport, LLC is 1821353871. It was assigned to this organization in the NPPES registry on July 5, 2012.
Where is Pain Management Of Williamsport, LLC located?
Pain Management Of Williamsport, LLC is located at 553 E 3rd St, Williamsport, PA 17701. The listed phone number is (570) 323-3106.
What is Pain Management Of Williamsport, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Pain Management Of Williamsport, LLC enrolled in Medicare?
Yes. Pain Management Of Williamsport, LLC is registered in the Medicare PECOS enrollment system.
When is Pain Management Of Williamsport, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Pennsylvania, Physician - General Surgery) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pain Management Of Williamsport, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Pain Management Of Williamsport, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pain Management Of Williamsport, LLC was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pain Management Of Williamsport, Llc · NPI 1821353871
Pain organization in Williamsport, Pennsylvania. Organization record, active in the CMS NPPES registry since July 5, 2012.
## Identity
- **NPI:** 1821353871 (Entity type: Organization)
- **Enumerated:** July 5, 2012
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Ayaz Khan, M.D.
## Practice location
- **Address:** 553 E 3RD ST, Williamsport, PA 17701-5316
- **Phone:** (570) 323-3106 · **Fax:** (570) 323-3606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Pennsylvania, Physician - General Surgery) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821353871) · Data from the CMS NPPES public registry.